evaluación del recién nacido febril y predicción de infección del tracto urinario

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ID: 250544
1998
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Abstract
Se estudiaron 399 recién nacidos (RN)s febriles sin signos de focalización (SSF) consecutivos, ingresados en el Servicio de Neonatología del Hospital Pediátrico Docente "Juan Manuel Márquez", entre febrero de 1992 y mayo de 1995, con el objetivo de determinar, al proceder con la evaluación del paciente, si existían datos clínicos y de laboratorio que identificaran con más individualidad la probabilidad de infección del tracto urinario (ITU) con respecto a otras infecciones bacterianas severas (IBS)s. Los datos que fueron analizados para hacer las correlaciones fueron aquellos incluidos en los criterios de bajo riesgo de IBS creados en dicha institución, a los que se agregó el sexo masculino. Se halló que los datos relacionados significativamente con la ITU fueron: leucocituria, sexo masculino y velocidad de sedimentación globular (VSG) acelerada; mientras que para otras IBS fueron: antecedentes perinatales de riesgo de sepsis, estado tóxico, fiebre recurrente o persistente y VSG acelerada. Como resultado de esta evaluación se puede orientar con más individualidad de la probabilidad de ITU con respecto a otras IBSs.
Three hundred and ninety nine consecutive febrile newborns (N)s without focalization signs (WFS), patients of the Neonatology Service of the "Juan Manuel Márquez" Teaching Pediatric Hospital between February 1992 and May 1995 were studied, with the idea of determining through the evaluation of the same if clinical and laboratory data existed, in order to identify more individually the probability of urinary tract infection (UTI) with regard to other severe bacterial infections (SBI). The data analyzed were those included in the SBI low risk criteria created by that institution, to which the masculine sex was added. It was found that the data significantly related to UTI were leukocyturia, masculine sex, and accelerated erythrocyte sedimentation rate (ESR), while the data for other SBI were perinatal backgrounds of sepsis risk, toxic condition, recurrent or persistent fever, and accelerated ESR. A result of this evaluation is that the probability of UTI with respect to other SBI can be orientated with greater individuality.
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lvarez1998revistaevaluacin Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors ;Manuel Díaz Álvarez;Younan Ahmed Abboud;Humberto Martínez Canalejo
Journal studies in the history of gardens and designed landscapes
Year 1998
DOI
DOI not found
URL
http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0034-75311998000400002
Keywords
Fever urinary tract infections

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